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WASTE OIL , INC . Invoice Number: <br /> RO, Box 340 P Delhi, CA 95315 <br /> PH . 1 -800- 7324645 • FAX 209-668-3880 <br /> EPA# CAL000416714 <br /> BILL TO: GON FAS CALIFORNIA, LLC OB SITE: CO <br /> N-FAB CALIFON RIA ,LLC — 1 <br /> 1910 LATHROP RD 1 1910 LATHROP RD. Invoice Date: <br /> LATHROP , CA 95330 LATHROP , CA 95330 <br /> X AIRPORT <br /> Sales Rep ACT <br /> Phonf09-85 &2521 MARLIN I Customer P. O. ITerrnNet30DA' s I EPA � <br /> �' � �?,LOfS315_285 <br /> PRODUCT SHIPPING DESCRIPTIONWASTE { MANIFEST QUANTIIYi PRICE AMOUNT <br /> CODE <br /> NON- RCRA Waste Liquid Used Oil/Mixed Oils `` 221 <br /> NON- RCRA Waste Liquid Used Antifreeze 133 <br /> NON-RCRA Waste Liquid Used Oily Water 233 <br /> Drained Used Oil Filters ! i v- <br /> ----- ------------- ___L_ } <br /> it <br /> fi - ---- <br /> TCRMS : Invoices over 30. Days are Subject to a 1 .5% service charge. Customer agrees to pay all legal fees if cootie action TOTAL <br /> becomes necessary to collect this invoice. <br /> i Sy signing I hediy conity that I have not mixed any of the waste described abova with any other hazardous :Taste, tha total Ita!Me ccntonI is LESS than 1 ,(TJo ppm, and the ' <br /> Caste does not contain any PCBs, I have complied with the requirements of the applicable California used oil managerrentregulalion to datemtine Itis is INa i cores to <br /> iaccept the additional chlrges for the disposal of this waste If the Information I have provided about th,o waste i5 111Corre,-.1. <br /> Generators Gedirication: By signing I certily that if I em a large quantity generator, I certify that I have a program in place to reduce the volume anti toxicfty of waste general- <br /> ad to the degree I have determined to be ecanvnicapy altordabie anti that I have selected the practicable foothold of heatnnant, slorage, or disposal currelIty araltable to nra <br /> which m n names the present and future threat to homart life and the anvlronmenl: Or, if I am a small quantity generator, t hove mads a Good faille effort to unnlmso my waste <br /> goneraCon and select Ota waste management method that is avaihbie to me that I cwt afford. <br /> t American Valley Waste Oil hereby advises the above Generalor that gsnerutors shipment of used oil may be transported to a facility that la required to comply with ledcral ` <br /> regulations applicable to management of used oil, but that is not raquhed to comply with the more stringent requirements appG<ab!e to ha mous waste own3grment raal4- f <br /> ues. Califomia factilLes that handle or process used all ane requirad to meat those more slinge-nt regwrement, and some alt i. f-stale tadlltias that process used oil also meet i <br /> ihoso requirements, engireariog certifications of tank integrity, and financial assurances for closure and occidental releases II is lawhil to send used all to out at state facilities i <br /> that romply only with federal used all management slandafds and not these more stringent requirements. <br /> This notification is for informslion Purposes only. <br /> 8y both parties slgning lhls invoice it % iill serve a% an agreement that American Valley Wasle Oil v,@ submit confirmafian for {certain waste streams} to the generates that their <br /> waste has been fra-n—tsported Io o licensed treatment or transfer facility. i <br /> DRIVER 1 e f AUTHORIZED ----� <br /> jjj"' ( .^ AUTHORIZED � " / �/�y �'i (� ..tl,,. <br /> SIGtdATURE: .le ";r„�.,A,�---^-� DATE: �' ( - SIGNATURE: > j.- t'- -"7"7 ry Lia i e5 DATE.-`--' -1 f <br /> i • <br /> DISPP SAL / RECYCL, ENG FACILITY <br /> Q DK-DIXON Crk BURY ENVIRONMENTAL O RIVERBANK OIL TRANSFER O CFR O GLOBAL MATERIAL MGMT <br /> 7300 CHEVRON WAY 1920 MORGAN RD, 5300 CLAUS RD, 2035 E. 15TH ST. 1640 N. BROADWAY <br /> DIXON, CA 95620 CERES, CA 95358 RIVERBANK, CA 95367 LA, CA 90021 STOCKTON, CA 95205 <br /> 707.693-6008 707-693.6008 209-863-6161 213-746-0237 818-770-2577 <br /> I <br /> EPA# CAT080012602 EPAd CAL000393680 EPA# CAL000190816 EPA# CAL000270577 EPA-1 CAL000417316 <br /> i <br />